Influence of adapted sport on quality of life: Perceptions of athletes with cerebral palsy

Purpose. This study sought to examine the effect of adaptive sports participation on athletic identity and influence on quality of life (QOL) for individuals with cerebral palsy (CP) participating in the CP World Games. Method. Surveys were conducted with 73 international athletes competing in the 2005 CP World Championships. The survey included descriptive questions about sport involvement and socio-demographics, the Athletic Identity Measurement Scale, and the Influence on Quality of Life Scale. Results. A significant relationship was found between influence on QOL and athletic identity (r = 0.505; p < 0.001). There was a moderate negative correlation between influence of adaptive sport on QOL and severity of disability (r = −0.264, p < 0.05). The majority of the sample either agreed or strongly agreed that adaptive sport positively influenced their overall health (84.9%) quality of life (80.8%), quality of family life (53.4%), and quality of social life (56.1%). Athletic identity (β = 0.54) was the strongest predictor of influence on QOL with severity of disability (β = −0.29) also a significant contributor. These athletes also had significantly higher mean AIMS scores when compared to collegiate non-athletes, collegiate recreational athletes, and recreational athletes with disabilities. Conclusions. The results suggest that participation in adapted sport is related to QOL and athletic identity for individuals with CP. To foster these benefits advocates for persons with disabilities should work toward increasing opportunities to compete in sports.

[1]  S. Hooker,et al.  The spinal injured athlete , 1990 .

[2]  Margaret Carlisle Duncan,et al.  A Content Analysis of CBS’s Coverage of the 1996 Paralympic Games , 1999 .

[3]  Graham R. Jones,et al.  Psychological Well-Being in Wheelchair Sport Participants and Nonparticipants , 1994 .

[4]  R. Zabriskie,et al.  Quality of life and identity: the benefits of a community-based therapeutic recreation and adaptive sports program. , 2005 .

[5]  B. Brewer,et al.  Athletic identity: Hercules' muscles or Achilles heel? , 1993 .

[6]  D. Kleiber,et al.  Exploring the identity formation of youth involved in an adapted sports program. , 2001 .

[7]  C. Anderson Athletic Identity and Its Relation to Exercise Behavior: Scale Development and Initial Validation , 2004 .

[8]  K. Dodd,et al.  Adults with cerebral palsy benefit from participating in a strength training programme at a community gymnasium , 2004, Disability and rehabilitation.

[9]  T. Williams Disability Sport Socialization and Identity Construction , 1994 .

[10]  E. Blinde,et al.  Enhancing the Physical and Social Self through Recreational Activity: Accounts of Individuals with Physical Disabilities , 1997 .

[11]  Amy Rauworth,et al.  Physical activity participation among persons with disabilities: barriers and facilitators. , 2004, American journal of preventive medicine.

[12]  Kateryna V. Keefer,et al.  Emotional Intelligence and Physical Health , 2009 .

[13]  M Yamasaki,et al.  The effect of frequency and mode of sports activity on the psychological status in tetraplegics and paraplegics , 2000, Spinal Cord.

[14]  M. Santiago,et al.  Leisure-time physical activity and secondary conditions in women with physical disabilities , 2004, Disability and rehabilitation.

[15]  D. A. Kenny,et al.  The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. , 1986, Journal of personality and social psychology.

[16]  J. Seaman,et al.  Physical Activity and Fitness for Persons with Disabilities. , 1999 .

[17]  Nigel B Thomas,et al.  Preoccupied With Able-Bodiedness? An Analysis of the British Media Coverage of the 2000 Paralympic Games , 2003 .

[18]  Jeffrey Martin,et al.  Athletic Identity and Sport Orientation of Adolescent Swimmers With Disabilities , 1995 .

[19]  M. Brandstater,et al.  Physical medicine and rehabilitation. , 1995, JAMA.

[20]  S. Stryker,et al.  Identity theory: Developments and extensions. , 1987 .

[21]  R. Zabriskie,et al.  An Exploratory Study of Athletic Identity among Elite Alpine Skiers with Physical Disabilities: Issues of Measurement and Design , 2006 .

[22]  Alan Carr,et al.  Positive Psychology , 2004, Encyclopedia of Quality of Life and Well-Being Research.

[23]  E. Campbell Psychological well-being of participants in wheelchair sports: comparison of individuals with congenital and acquired disabilities. , 1995, Perceptual and motor skills.

[24]  B. Hale,et al.  Determining the dimensionality of athletic identity: a "Herculean" cross-cultural undertaking. , 1999 .

[25]  J. Sinacore Multiple regression: Testing and interpreting interactions , 1993 .

[26]  Office on Disability The Surgeon General's Call to Action to Improve the Health and Wellness of Persons with Disabilities , 2005 .

[27]  Timothy Jon Curry,et al.  Sport Identity Salience, Commitment, and the Involvement of Self in Role: Measurement Issues , 1987 .

[28]  H. Stam,et al.  Everyday physical activity and community participation of adults with hemiplegic Cerebral Palsy , 2007, Disability and rehabilitation.

[29]  D. Mack,et al.  Athletic Identity in Marathon Runners: Functional Focus or Dysfunctional Commitment? , 2000 .

[30]  James T. Johnson,et al.  Newspaper Coverage of Female Athletes Competing in Selected Sports in the 1996 Centennial Olympic Games: The More Things Change the More They Stay the Same , 2003 .

[31]  C. M. Greenwood,et al.  Self-Efficacy and Psychological Well-Being of Wheelchair Tennis Participants and Wheelchair Nontennis Participants , 1990 .

[32]  P. Grimaud [Cerebral palsy]. , 1972, Pediatrie.

[33]  H. Stam,et al.  Determinants of functioning of adolescents and young adults with cerebral palsy , 2007, Disability and rehabilitation.